Jump to content
ร—
Are you looking for the BariatricPal Store? Go now!

Appeal letter



Recommended Posts

I am now in the appeals process with my insurance despite the fact that my first denial was because "somebody" misplaced some key parts of my application (testing, Psych eval, etc.). Anyway, I know there's a great appeal letter on this forum somewhere, written by Alexandra I think, but I'll be darned if I can find it. Can anyone help please?

Thanks much,

hopeful1

Share this post


Link to post
Share on other sites

Hopeful, here's where Alex's appeal letter is:

Under old thread, entitled, "Just starting to explore options...help!!!" by Brando5111. Her letter is on the second page of the thread and was posted on 7/20/04 at 8:07 a.m.

Best of luck to you! Mine was originally denied, I appealed, 8 months later approved. But most people don't have to wait that long.

Have you gotten a copy of your insurance company's appeals process to follow their required protocol? Was it definitely denied or do you simply need to resubmit all the "lost" info.? If you're unsure, perhaps a call to your benefits coordinator and/or your health insurance company can clarify this for you. :)

Share this post


Link to post
Share on other sites

Thanks Marie,

I found the appeal letter and printed it out. Couldn't have found it without your help. I just hope I don't have to use it. I sent my insurance contact a new "chart" of my last 4 years dieting attempts and of course forgot something. For awhile I was on wellbutrin to see if it might suppress my appetite. It didn't. They wanted more detail than was on my previous submission. I haven't heard from them or the doctor's office so I'm still just waiting and praying for the hoped for answer. You guys are doing so well it just makes me all the more impatient. I "met up" with chickadee on this site who was banded by the surgeon I'm hoping to have do mine. She is so pleased with her results. Can't wait to be one of you.

Denise

:mad:

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      ยท 2 replies
      1. AmberFL

        You look amazing!!! ๐Ÿ˜ป you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      ยท 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water. ย Anyone out there have a similar experience?
      ยท 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      ยท 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay ๐Ÿฅณ๐Ÿ˜ญ. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! ๐Ÿ˜ž
      ยท 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ร—